		<div style="margin: 15px;">
			<form class="layui-form" action="">
			
				<div class="layui-form-item layui-form-text">
					<label class="layui-form-label" style="width: 100px">提醒客户</label>
					<div class="layui-input-block">
						<textarea class="layui-textarea" name="custNames"  id="custNames" disabled="disabled"></textarea>
					</div>
				</div>
				<div class="layui-form-item">
					<label class="layui-form-label"style="width: 100px"><span style="color: red;">*</span>提醒日期</label>
					<div class="layui-input-block">
						<input type="datetime" name="pubDate" id="dateYm"  placeholder="yyyy-mm-dd" autocomplete="off" class="layui-input"  lay-verify="date">
					</div>
				</div>
				
				<div class="layui-form-item layui-form-text">
					<label class="layui-form-label" style="width: 100px"><span style="color: red;">*</span>提醒内容</label>
					<div class="layui-input-block">
						<textarea class="layui-textarea" name="warnDesc"  id="warnDesc" ></textarea>
					</div>
				</div>
				
				<div class="layui-form-item layui-form-text">
					<label class="layui-form-label" style="width: 100px">提醒次数</label>
					<div class="layui-input-block">
						<select id="warnNum"  name="warnNum" >
									<option value="0" >-请选择-</option>
									<option value="1" >重复提醒</option>
									<option value="2" selected>提醒一次</option>
						</select>
					</div>
				</div>
				<div class="layui-form-item">
					<label class="layui-form-label"style="width: 100px">提醒要求</label>
					<div class="layui-input-block">
						<input placeholder="提前几天提醒"type="number"max="10"min="0"step="1" class="layui-input" id="warnType" name="warnType" lay-verify="required"> 
					</div>
				</div>
				<button lay-filter="edit" lay-submit style="display: none;"></button>
			</form>
		</div>